SAFETY BOOKLET - School of Life Sciences - Heriot-Watt University

28Do you intend working with human tissues?YES / NO (delete as appropriate)2. PREVIOUS EMPLOYMENTPlease give details of previous employment (including studentships, fellowships, etc.), giving names ofemployers, place of work, approximate dates and nature of work.Name of EmployerAddress(place of work)Period ofemploymentNature of workHas work involving genetic manipulation been carried out in the past in any laboratory other than thepresent place of work? YES / NO (delete as appropriate)If YES, please give details:3. IMMUNISATION HISTORYPlease list immunisations and dates given:Hepatitis BIt is essential if you work with primary human tissue samples or blood to have an up to date history ofhepatitis B immunisation.Do you require immunisation? YES / NO (delete as appropriate)If you have been immunised please give date:Do you know your current antibody status? YES / NO (delete as appropriate)19/08/02